AthleteQuestionnaire

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Questions?

Athlete Questionnaire

Fill out the form below to get started in the Athlete-Coach Program. Please set aside some dedicated time for this form so that you can be thorough. This information will be the baseline for your initial conversation with me.

Contact Info

Full Name

Email

Phone

Mobile

Address

About Yourself

Age

Gender

Male
Female
Your gender is required

Height

Weight

What events are you training for this season?

What are your performance goals for this season?

Do you have a TrainingPeaks account? If so, what is your user name?

What is your training and racing history? Include things like years of experience, type of training you do, race results, etc.

Training Time

How many hours a day are you free to train and at what time during the day?

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Do you possess/have access to any of the following equipment?

Road Bike

Yes
No
This field is required

Time Trial Bike

Yes
No
This field is required

Mountain Bike

Yes
No
This field is required

Gym/free weights

Yes
No
This field is required

Heart rate monitor

Yes
No
This field is required

GPS monitor

Yes
No
This field is required

Power meter

Yes
No
This field is required

Treadmill

Yes
No
This field is required

Pull bouy

Yes
No
This field is required

Hand paddles

Yes
No
This field is required

Indoor trainer

Yes
No
This field is required

What type?

Does it have wattage?

Yes
No
This field is required

What would you consider is your weakest discipline?

What would you consider is your strongest discipline?

Do you have any medical conditions that need to be taken into consideration?

Yes
No
This field is required

What would you consider your primary athlete type to be? Pick the top sport

Triathlete
Cyclist
Runner
Mountain biker
OtherThis field is required

What type of coach are you looking for?

Triathlete
Cyclist
Runner
Mountain biker
OtherThis field is required

When do you want to start working with a coach?

Immediately
In a few weeks
In one month or more
I'm just inquiring about my options
OtherThis field is required

Security Question

Location of NZ Ironman?

Hi Russell,
Really enjoyed my smooth swim make over session, so now the hard work begins to swap all my bad habits for new 21st centurary techniques and go forwards faster.
Nice that you broke it all down into simple movements.
Thanks Irma